Why Us


Our aim is to liberate healthcare personnel from the acute demands of Prior Auth Online, and find more time and peace of mind to concentrate on actual patient care. We accomplish this by consistently delivering the best support to our clients for getting all their Prior Auth Onlines done quickly, accurately and cost-effectively.

Ever since our inception in 2007, we have been helping healthcare practices of all shapes and sizes cut cost, boost revenue and earn massive collections from insurance claims. Thanks to the fact that we also work with Insurance Payors in adjudicating claims, we have better knowledge than the rest about every little caveat or trick in the book that helps in getting claims approved sooner and faster!

The advantages of partnering with PriorAuthOnline include:

  • PROVEN EXPERTISE: Having successfully handled over 10,000 Prior Auth Online cases till now, you can rely on our proven expertise to give you the best results always
  • KEEN ACUMEN: Our prior auth experts are well-versed in the ins and outs of the process. Did you know that we are able to obtain Prior Auth Online even for quasi-medical products such as Botox® ?
  • UNIQUE INSIGHT: Our long association with major Insurance Payors, along with our years of experience in adjudicating claims, has given us a deep understanding of the Prior Auth Online process. This is clearly reflected in our high success rate with pre-certification cases.
  • HIPAA COMPLIANCE: Our operations are 100% HIPAA compliant and adhere to all norms and regulations laid down by CMS. The result? Faster Prior Auth Onlines with zero rejections!
  • SECURE TRANSACTIONS: Every piece of data exchanged between our clients and us is secured by 128-bit SSL encryption. Remember, your data is safe with us – from the moment you sign in to our system, till the time we send you back your authorization number, and even beyond!
  • FLEXIBILITY: We don’t have binding contracts. Feel free to cancel anytime. You can also work in small bursts, or opt for bulk requests - short-term or long-term.

To discover more benefits of partnering with PriorAithOnline, get in touch with us today by calling us or leaving us a message via the form below.

Our 360-degree Prior Authorization Approach:

  • Gathering of vital information (through secure FTP server, direct upload on our portal) from patient, provider as well as order information
  • Check the patient's eligibility
  • Communicate and validate prior auth request with the payers
  • Initiate PA requests as per the payer products
  • Follow up with payer for checking the auth status
  • Follow up ordering physician for the additional documents as requested by the payer
  • Provide the additional information as requested by the payer
  • Update the auth outcome in the PM/Billing system
All for $7 per hour including a dedicated account manager

What Customers Say

  • How busy your days can get! Overall, I think the quality we most value is communication. It is very important to maintain good communication levels and Sun Knowledge has been great at doing so. The staff that we are actively in contact with go above and beyond by paying close attention to detail and effectively communicating their findings with us. The staff is kind and respectful and we have created a lovely partnership that we continue to look forward to.

    - T***a G******o, Benefits & Eligibility Dept. Supervisor
  • Thank you to Sun Knowledge for an exceptional job that have provided to us. We have had such a great experience with the work they have done.

    - C***y B****l, Director of Operations, US
  • I would like to thank everyone in Sunknowledge team for the great help in our billing process. The quality of work provided is amazing and the expectations are always met. Your effort has made a significant difference to our business. It is our pleasure working with you.

    - M*****a O*****e, Billing Manager, US
  • "Sun Knowledge team,

    I wanted to share how pleased Tom and I are with the relationship we have with the Sun Knowledge team. P***** and team are doing a great job. We finally feel that we have great visibility into what is driving our revenue cycle and that we have a capable team that lives up to our high expectations. I know that my communication style / feedback can be right to the point, but I just wanted to make clear that we are very pleased with what Sun Knowledge and P***** brings to our organization.

    Also, I wanted to let you know that we have approval from our private equity backers for our Phase 2 expansion plan. We intend to grow from a network of 5 to a network of 10 by Jun-18. As with our first five centers, We will continue to exclusively target federally designated primary care shortage areas in Brooklyn and continue to provide excellent non-ER episodic care in the areas that need it most. We will have 2 leases signed next week in the Sunset Park and City Line neighborhoods in Brooklyn and aim to have those centers open by Nov/Dec. We are excited for the next phase and very happy to grow with you as a partner."

    - Chief Financial Officer, Urgent Care company
  • "Sunknowledge had been working with our affiliated entities for the past several years and had done and continues do an outstanding job. I consider Sunknowledge a part of my team. I am always very impressed with the accuracy in what they do for us, which is an array of managed care functions."

    - CFO of a west coast-based major health insurance conglomerate.
  • "Again we appreciate the efforts of your team and are quite impressed with the progress to this point. The below refinements are expected as part of any new partnership, particularly in our highly complex system. ... Thank you again for your efforts – your team continues to meet our expectations and is actively improving our ability to serve our patients. Your efforts specifically to maintain open communications with our team has fostered the success of this effort and we look forward to expanding the effort next week and beyond."

    - Project Manager at a leading Prosthetics & Orthotics company based in Florida
  • "Just following up before the Christmas holiday season begins to say thank you for the great job you all are doing. Our team is very thankful for the opportunity to work with such a competent group of individuals. P******'s work in the claims department has impressed us very much. His follow up calls are always timely and very well detailed. As well, his work in summarizing our accounts receivable for strategic action was excellent. As well, N*******'s dedication to our eligibility and authorizations department has helped our local team to refocus their energies in a way that was not possible in years past. The result has been a renewed and refreshed work effort on the part of our employees. Additionally, your team’s communication with our employees has been very well streamlined and always professional, appropriate and correct."

    - Senior Executive at an industry-leading practice management software company in orthotics & prosthetics, based in the south-east
  • "We have had the pleasure of working with the Sunknowledge team throughout the few months utilizing their services for patient data entry and eligibility verification. They are a devoted and responsible team that is highly experienced in what they do. They are always concerned about the client's needs and are always there to help. I highly recommend the services offered by Sunknowledge."

    - COO of a leading medical billing and credentialing company in the north-east
  • "Your team amazed me with the manual and the amount of info you provided with that short training session."

    - Practice Manager of a major dermatology group in the north-east
  • "My firm has evaluated an outsourcing transaction with Sunknowledge. They provide superior service at a very attractive rate and have demonstrated to us their commitment to this partnership. Their expertise across various process areas in the PDP/MAPD domain and unique cost structure puts them in an incredible position to work with plans throughout the healthcare industry."

    - Chairman, President and CEO of a major north-eastern Health Plan
  • "Our company is very pleased with the administrative, and business analytical solutions which Sunknowledge delivers to our company from a quality & cost perspective. They have been a true partner in bringing industry expertise, and innovative solutions to the table. Their ability to grow with our evolving needs for higher end services such as clinical services is a significant differentiator among healthcare business process outsourcing firms."

    - Executive Vice President of operations of a leading MSO
  • "I was always against the idea of outsourcing our back-end claims processing work but I was wrong. Sunknowledge provided extraordinary deliverables on a timely basis which led to cost cutting considerably for us."

    - CEO of a leading MA-PD Plan
  • "*** implemented Sunknowledge for our substance abuse and mental health billing. A major reason we chose Sunknowledge was their experience of processing claims for the insurance companies. We figured they would know all the things that stop a claim from being processed and that would help us get paid. Their efficient and effective approach to billing allows our facility to eliminate the constant stress and headache of dealing with the insurance companies and allows us to focus on treatment of our clients. Their staff is responsive and knowledgeable of all our needs and the exciting part is that the cost is 30% less than other billing companies. Amazing! Great service, results and saves us money. We are in the process of implementing their GoTelecare telemedicine platform that is interfaced with their billing function, which will save us time and costs of clinical assessments and follow up with clients. We are pleased to recommend both Sunknowledge and GoTelecare."

    - A leading drug and alcohol addiction treatment center
  • "It has and continues to be our pleasure to work with Sunknowledge Services Inc.. We are a very busy O & P practice and having the help of a knowledgeable staff is imperative to our business. We upload charts to a secure FTP server to Sunknowledge and they take it from there. The staff is knowledgeable and very easy to work with. Any issues that we have faced have been resolved within a few days. We have conference call meetings every week to update each other on what, if anything, we need help with. I would highly recommend Sunknowledge to any office requiring the assistance in patient demographic entry, insurance verification, obtaining authorizations, billing, payment posting, and reporting."

    - A major orthotics & prosthetics practice based in the south-east
  • "I am very pleased with the overall service provided in managing my billing and insurance authorization service. To date the overall attention to my account has been highly acceptable. The staff that I interact with regularly are professional and respectful. The attention to my concerns is timely and has generally resolved any issue quickly and to my satisfaction. …I am very pleased with their performance and feel that the attention to my account is commendable. The timely reply to our questions and the professionalism of the staff has made working with your company a real pleasure. Thank you for your assistance!"

    - CPO of a south-east based orthotics & prosthetics company